| No. | Nama | Paraf |
|---|---|---|
| 1 | SUPRIYANTO | |
| 2 | PURWANTO | |
| 3 | TUWARNI | |
| 4 | SUNARYO | |
| 5 | DWI ISWANTO | |
| 6 | KEMBIK | |
| 7 | SUMIDAH | |
| 8 | WAJIB TRI ATMOJO | |
| 9 | SUROSO | |
| 10 | TRI HADI PRAWOTO | |
| 11 | MARTINUS BLITHIK | |
| 12 | ARSIYAH | |
| 13 | SARIYADI | |
| 14 | SURAMAT | |
| 15 | TINUS SARIP | |
| 16 | MUJAZIN | |
| 17 | MISYANTO | |
| 18 | KABUL ROYANI | |
| 19 | SUYARTO | |
| 20 | HERMANTO | |
| 21 | SUWARLAN | |
| 22 | MURSIDI |